MEDICARE: MS. HOLLY ANN DOOLAN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	6380	MN

General Provider Information

NPI Number	:	1821511874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HOLLY ANN DOOLAN DC

Provider Business Mailing Address
First Line	:	10150 CITY WALK DR APT F
Second Line	:
City	:	WOODBURY
State	:	MN
Zip	:	55129-9270
Country	:	US
Telephone Number	:	651-232-6830
Fax Number	:	651-702-2636

Provider Business Practice Location Address
First Line	:	10150 CITY WALK DR APT F
Second Line	:
City	:	WOODBURY
State	:	MN
Zip	:	55129-9270
Country	:	US
Telephone Number	:	651-232-6830
Fax Number	:	651-702-2636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2017
Last Update Date	:	12/05/2025

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Directions to “ MS. HOLLY ANN DOOLAN DC” Practice Location

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